63974 (2) 1177 Elmsford Ct ' // '
Tract No. . Lot No._L'�
CITY OF SAN JOSE BUILDING DEPARTMENT
/ APPLICATION FOR BUILDING PERMIT
Date/ I9'Zn' Permit No._4 -�7y
Application is hereby.made for a permit to 4120 %r} p� �
a—1 story, ape _Bw'I�li��} Use Zone t�r -/
at L.Z7�A-7 C Occupancy /
Parking Space
to be occupied only as ` ✓ = ,Q �
_ �j'� Fire Sprinkler
in accordance with Plans, Specificafio lot- lafi iF'Ia
Estimated Value of Improvements, $_
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so as to violate the w rkmen's compensation laws of Californi
Owner Address
lcl�f/� Addresses
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R0R/Dr OF INSPECTION
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Foundation�lL�! Q �'-",^ o v..d Frame �- - -2-'0 —7 0 Z L/ �
Stucco Z R 70 Finish I1 7
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